1467548842 NPI number — SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467548842 NPI number — SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467548842
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3530 PEACH ST
Provider Second Line Business Mailing Address:
SUITE LL1
Provider Business Mailing Address City Name:
ERIE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16508-2768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-860-5036
Provider Business Mailing Address Fax Number:
814-860-5063

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNION CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16438-1068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-438-7208
Provider Business Practice Location Address Fax Number:
814-438-8062
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BALLMAN
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
814-452-5296

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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